Organization
ANTHONY F BONGIOVANNI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY F BONGIOVANNI PH.D. (OWNER SINGLE MEMBER LLC)
(716) 969-3756
Entity
Organization
Contact information
Practice address
315 ALBERTA DR STE 211, AMHERST, NY 14226-1814
(716) 837-6705
(716) 837-6759
Mailing address
315 ALBERTA DR STE 211, AMHERST, NY 14226-1814
(716) 837-6705
(716) 837-6759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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